Individual
MS. NICOLE ALISE WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1760 W 4805 S, TAYLORSVILLE, UT 84129-1177
(801) 955-9110
Mailing address
4866 S HIGHLAND CIR, #2, HOLLADAY, UT 84117-6039
(925) 548-6598
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8066223-3502
UT
Other
Enumeration date
12/14/2012
Last updated
03/28/2018
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